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Hawaii rates for HCPCS 77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $152.12 / $375.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.36 / $69.43 / $92.25
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $197.57 / $236.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.20 / $164.60 / $164.60